Sequoia Transitional Care Complaints, Violations and Inspection Records
Data current as of the August 2026 CMS Care Compare release and the CDPH state enforcement dataset of August 27, 2024. State citation records cover July 1, 1997 through June 30, 2024.
- California State BarVerify license
- ConsultationFree, confidential, no fee unless we win
- Reviewed byThomas Wallin, Young & Wallin
What the public record shows
If you are looking into Sequoia Transitional Care in Porterville, whether a loved one lives there now or you are considering it, the public record is worth reading before you decide. It includes 4 citations in the state's two most serious classes, class A and class AA.
Here is what the record shows for this facility, drawn from CMS Care Compare and the California Department of Public Health:
- CMS overall rating: 4 of 5 stars. The health inspection rating, the most independent of the three categories, is 3 of 5.
- California state citations: 14 on record, including 4 class A and 10 class B, with $93,000 in assessed penalties.
- Staffing: 4.10 nursing hours per resident per day. Registered nurse turnover not reported.
- Most recent standard inspection: 6 deficiencies cited on January 15, 2026. The most recent inspection since then was on June 3, 2026: 3 deficiencies cited in the complaint inspection.
- Federal enforcement: 1 federal fine totaling $41,759 in the reported period.
- Ownership: Sun Villaidence Opco, LLC, for-profit, part of Pacs Group (274 facilities nationally).
Sequoia Transitional Care ratings and staffing
Sequoia Transitional Care is located at 350 North Villa Street in Porterville, Tulare County. It is a for-profit facility operated by Sun Villaidence Opco, LLC, part of Pacs Group, with 99 certified beds and an average of 91.1 residents a day. It accepts Medicare and Medicaid.
CMS rates every certified nursing home in three separate categories, and the overall star is a blend of them:
- Health inspections, based on what state surveyors observe in person during unannounced visits. Weight this one most heavily, because it does not rely on data the facility reports about itself.
- Staffing, drawn from payroll-based records of how much nursing time each resident actually receives.
- Quality measures, built largely from data the facility submits. Read a high score here with more caution than the other two.
For Sequoia Transitional Care, those scores are: health inspections 3 of 5, staffing 3 of 5, quality measures 5 of 5.
Staffing. Sequoia Transitional Care reports 4.10 total nursing hours per resident per day, of which 0.10 are registered nurse hours. Over the reporting year, 38% of the nursing staff left. Registered nurses supervise aides, catch medication errors before they reach a resident, and notice when a person's condition is changing. Staffing is the single number that most reliably predicts whether a facility catches a problem early or lets it become a crisis.
How this home compares in the public record
CMS publishes each home's star rating and its payroll-based staffing hours, and it publishes the federal fines it has imposed. The county and California figures beside each number are the averages across those same published records.
These figures are taken from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). They are reported as published and are not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.
Homes in Tulare County with a higher CMS overall rating
CMS rates each of these homes above Sequoia Transitional Care on the overall star rating it publishes. The rating is one measure of a facility's record, and each page below carries that home's own inspection findings, staffing hours and citation history.
- Sierra View Medical Center, Porterville: CMS overall rating 5 of 5
- Kaweah Health Skilled Nursing Center, Visalia: CMS overall rating 5 of 5
- Delta Healthcare & Wellness Center, LP, Visalia: CMS overall rating 5 of 5
These figures are taken from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). They are reported as published and are not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.
Federal inspection findings and penalties
Scope and severity A to C means no actual harm, with potential for minimal harm. Scope and severity D to F means no actual harm, with potential for more than minimal harm. Scope and severity G to I means actual harm that is not immediate jeopardy. Scope and severity J to L means immediate jeopardy to resident health or safety.
June 3, 2026, complaint inspection
3 deficiencies cited. Surveyors cited the facility for immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident, develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured, and ensure services provided by the nursing facility meet professional standards of quality.
- F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (scope and severity D)
- F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
- F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)
April 2, 2026, complaint inspection
1 deficiency cited. Surveyors cited the facility for provide care and assistance to perform activities of daily living for any resident who is unable.
- F0677Provide care and assistance to perform activities of daily living for any resident who is unable. (scope and severity D)
January 15, 2026, standard inspection
6 deficiencies cited. Surveyors cited the facility for provide safe, appropriate pain management for a resident who requires such services, provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist, and provide and implement an infection prevention and control program.
- F0697Provide safe, appropriate pain management for a resident who requires such services. (scope and severity G)
- F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity F)
- F0880Provide and implement an infection prevention and control program. (scope and severity E)
- F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)
- F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
- F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity D)
December 31, 2025, complaint inspection
1 deficiency cited. Surveyors cited the facility for ensure services provided by the nursing facility meet professional standards of quality.
- F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)
April 17, 2025, complaint inspection
2 deficiencies cited. Surveyors cited the facility for provide care and assistance to perform activities of daily living for any resident who is unable and develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F0677Provide care and assistance to perform activities of daily living for any resident who is unable. (scope and severity G)
- F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
January 9, 2025, standard inspection
10 deficiencies cited. Surveyors cited the facility for have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis, provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights, and develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (scope and severity F)
- F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (scope and severity D)
- F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
- F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (scope and severity D)
- F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
- F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (scope and severity D)
- F0757Ensure each resident’s drug regimen must be free from unnecessary drugs. (scope and severity D)
- F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (scope and severity D)
- F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (scope and severity D)
- F0847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. (scope and severity D)
November 8, 2024, complaint inspection
1 deficiency cited. Surveyors cited the facility for provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (scope and severity D)
October 14, 2024, complaint inspection
1 deficiency cited. Surveyors cited the facility for immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (scope and severity D)
August 7, 2024, complaint inspection
1 deficiency cited. Surveyors cited the facility for provide medically-related social services to help each resident achieve the highest possible quality of life.
- F0745Provide medically-related social services to help each resident achieve the highest possible quality of life. (scope and severity D)
June 12, 2024, complaint inspection
1 deficiency cited. Surveyors cited the facility for have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (scope and severity F)
October 12, 2023, standard inspection
13 deficiencies cited. Surveyors cited the facility for honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive, have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis, and ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (scope and severity E)
- F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (scope and severity E)
- F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (scope and severity E)
- F0919Make sure that a working call system is available in each resident's bathroom and bathing area. (scope and severity E)
- F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (scope and severity D)
- F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
- F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)
- F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)
- F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (scope and severity D)
- F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (scope and severity D)
- F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity D)
- F0880Provide and implement an infection prevention and control program. (scope and severity D)
- F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (scope and severity B)
September 22, 2023, complaint inspection
1 deficiency cited. Surveyors cited the facility for keep all essential equipment working safely.
- F0908Keep all essential equipment working safely. (scope and severity D)
September 5, 2023, complaint inspection
1 deficiency cited. Surveyors cited the facility for develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
Penalties. Over the reported period, Sequoia Transitional Care received 1 federal fine totaling $41,759 and 1 payment denial. Fines are imposed when a facility is cited for a serious violation or fails to correct a prior deficiency in time.
California state citations
California inspects and cites nursing homes separately from the federal government. The Department of Public Health issues three classes of citation. A class AA citation is a class A violation that the Department of Public Health determined was a direct proximate cause of a resident's death. A class A citation is a violation the Department determined presented an imminent danger of death or serious harm to residents, or a substantial probability that death or serious physical harm would result. A class B citation is a violation the Department determined had a direct or immediate relationship to residents' health, safety or security, other than a class AA or A violation.
State records show 14 citations against Sequoia Transitional Care between January 13, 2000 and October 17, 2023: 4 class A and 10 class B, with $93,000 in assessed penalties. 1 of these actions were connected to a resident's death.
- October 17, 2023, class B, Patient Care. $3,000 penalty.
- December 28, 2021, class B, Abuse/Facility Not Self Reported. $2,000 penalty.
- October 25, 2021, class A, Patient Care. $20,000 penalty.
- October 25, 2021, class A, Patient Care. $20,000 penalty.
- February 22, 2019, class B, Abuse/Facility Not Self Reported. $2,000 penalty.
- March 2, 2015, class A, Patient Care. $20,000 penalty.
- April 27, 2011, class B, Patient Care. $1,000 penalty.
- August 4, 2006, class A, Patient Care. $20,000 penalty. Death-related.
- August 19, 2004, class B, Patient Care. $500 penalty.
- May 6, 2004, class B, Patient Rights. $1,000 penalty.
- April 22, 2003, class B, Patient Care. $1,000 penalty.
- April 24, 2001, class B, Patient Care. $1,000 penalty.
and 2 earlier citations, in the CDPH record linked under Sources.
Across Tulare County's 16 certified facilities, the average is about 9.9 state citations per facility. Sequoia Transitional Care's 14 is above that average.
A citation records a determination by state surveyors. A citation does not by itself establish that any particular resident was injured or that the facility is liable to anyone.
Other nursing homes in Porterville
Families comparing options in Porterville often look at these facilities as well. Each link opens that facility's full public record:
- Sierra Valley Rehab Center, 4 stars, 15 state citations
- River Walk Care Center, 2 stars, 4 state citations
- Gateway Post Acute, 2 stars, 4 state citations
- Sierra View Medical Center, 5 stars, 1 state citation
See every facility in the Tulare County nursing home directory.
Other nursing homes in Tulare County
These are other nursing homes in Tulare County, listed by how close each home's ZIP code is to the ZIP code for Sequoia Transitional Care. The public record gives a street address but no coordinates, so distance is not measured; homes in the same ZIP code appear first. No rating or inspection figure is used to order this list.
- Gateway Post Acute, Porterville
- River Walk Care Center, Porterville
- Sierra Valley Rehab Center, Porterville
- Sierra View Medical Center, Porterville
- Lindsay Gardens Nursing & Rehabilitation, Lindsay
This list is drawn from public CMS Care Compare records as of August 2026 (the August 2026 release) and public CDPH records as of June 2024 (the state enforcement dataset of August 27, 2024). It is ordered by location only and is not a recommendation, endorsement or assessment of any facility by this firm. How these figures were assembled.
What to do if you are worried about care at this facility
You will usually notice something is wrong before anyone official does, and you do not need proof before you act. If you are concerned about care at Sequoia Transitional Care, you can take these steps:
Write down what you see. Note dates, times, and specific concerns, and photograph anything relevant. A clear, contemporaneous record matters if an investigation follows.
File a complaint with the California Department of Public Health. CDPH licenses and inspects skilled nursing facilities and investigates complaints, and a serious complaint can trigger an on-site inspection. You can file online through CDPH's Cal Health Find system, which routes your complaint to the Tulare County licensing district office.
Contact the Long-Term Care Ombudsman. The ombudsman is a free advocate who will visit your loved one, look into your concerns, and press the facility on their behalf. Tulare County's ombudsman program can be reached at (559) 852-2828. This is often the fastest first step when the issue is care quality rather than an emergency.
For the full walkthrough, see How to report nursing home abuse in California.
Injuries that most often signal neglect
The injuries below are the ones most often at issue in California nursing home cases. Any one of them at Sequoia Transitional Care is a reason to ask what the facility's own records show:
- Bedsores and pressure ulcers, especially a wound that reached stage 3 or 4
- Falls and fractures in a resident who was supposed to be supervised
- Wandering and elopement from a building that was not secured
- Dehydration and malnutrition
- Sepsis and untreated infections
- Medication errors
- Wrongful death, when neglect contributed to a resident's passing
Nursing home abuse claims in Tulare County
If a loved one was harmed at Sequoia Transitional Care, these pages explain how Tulare County families pursue the most common nursing home claims, each with local facility data and the county long-term care ombudsman:
- Tulare County bedsore lawyer
- Tulare County nursing home neglect lawyer
- Tulare County nursing home fall lawyer
- Tulare County nursing home wrongful death lawyer
You can also compare every home in the Tulare County nursing home directory.
Are There Lawsuits Against Sequoia Transitional Care?
This page reports federal and state inspection, complaint and enforcement records for Sequoia Transitional Care. Those records are separate from civil lawsuits: a government citation is not a lawsuit, and a facility can be sued without ever being cited. This site does not track civil court filings. Civil cases against California skilled nursing facilities are usually filed in the Superior Court of the county where the facility is located; records for Tulare County are searchable through the Tulare County Superior Court's online case records. If your family member was injured at Sequoia Transitional Care, the records that matter most are usually the resident's own: nursing notes, care plans, fall-risk assessments, wound records, medication administration records, physician orders and incident reports. Talk to us about what happened.
Frequently asked questions
- Is Sequoia Transitional Care a good nursing home?
- CMS gives Sequoia Transitional Care an overall rating of 4 of 5 stars, with a health inspection rating of 3 of 5 based on in-person state surveys. California has issued 14 state citations against the facility, including 4 in the state's two most serious classes, class A and class AA. A rating is a starting point, not a verdict. Read it alongside the inspection dates and what you see for yourself.
- What should I do if my loved one was injured at Sequoia Transitional Care?
- Document the injury with dated photos, request the care plan and treatment records, and report your concern to the California Department of Public Health and the Tulare County Long-Term Care Ombudsman. If the injury is serious, such as a bedsore, a fall, or an untreated infection, you can also speak with a nursing home attorney about whether you have a claim.
- Has Sequoia Transitional Care been fined or cited for serious violations?
- Public records show 1 federal fine totaling $41,759 and 14 California state citations with $93,000 in state penalties, including 4 class A citations.
- How many state citations does Sequoia Transitional Care have?
- The California Department of Public Health has issued 14 citations against Sequoia Transitional Care in Porterville between January 13, 2000 and October 17, 2023: 4 class A and 10 class B, with $93,000 in assessed penalties.
- How do I report a problem at Sequoia Transitional Care?
- File a complaint with CDPH through its Cal Health Find system, or contact the Tulare County Long-Term Care Ombudsman at (559) 852-2828. In an emergency, call Adult Protective Services or 911.
If your loved one was harmed
We came to this work from the other side. We spent years defending nursing homes, which means we know how a facility builds a file to protect itself and where the gaps in that file tend to be. Under California's Elder Abuse Act (Welfare and Institutions Code sections 15600 to 15675), a family that proves, by clear and convincing evidence, that neglect was committed with recklessness, oppression, fraud or malice can recover remedies beyond an ordinary injury claim, including attorney's fees (section 15657).
If your loved one was harmed at Sequoia Transitional Care, talk to our Tulare County nursing home abuse lawyers. We handle cases in Porterville and across California. The consultation is free and confidential, we are available around the clock, and you owe nothing unless we recover for you.
Call (888) 999-0169. Available 24/7. Free consultation. No fee unless we win.
Free Case Evaluation
Confidential. No obligation. Available 24/7.
Sources
- Centers for Medicare & Medicaid Services, Care Compare: Sequoia Transitional Care provider record, CCN 055551. Ratings, staffing, and federal deficiency data processed August 1, 2026.
- CMS Provider Data Catalog: Provider Information, Penalties, and Health Deficiencies datasets.
- California Department of Public Health, Cal Health Find: Sequoia Transitional Care state license record, FACID 120001474, license 120000589.
- California Department of Public Health, Health Facilities State Enforcement Actions dataset (CHHS Open Data), citations July 1, 1997 through June 30, 2024.
Disclaimer
The inspection data, ratings, citations, staffing figures, and ownership information on this page come from public sources, including the Centers for Medicare & Medicaid Services (medicare.gov) and the California Department of Public Health. This information is reported as published by those sources and may not reflect the most current findings or conditions at the facility. Deficiencies and citations listed may have been corrected or appealed since the date shown. Inclusion of Sequoia Transitional Care in this directory is not a statement, allegation, or suggestion that the facility has committed abuse, neglect, or any wrongdoing. This page is attorney advertising and an information resource. It is not legal advice, and using this site does not create an attorney-client relationship. Young & Wallin is not affiliated with Sequoia Transitional Care, and neither the facility nor any government agency endorses this page.